Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Yijun Chen, Erik Dutson. UCLA
Stenosis of the gastrojejunal anastomosis is a rare complication of Silastic ring-reinforced gastric bypass, a highly effective weight-loss procedure with a low morbidity profile. The stenosis may be partly attributable to chronic inflammation of the non-expandable Silastic ring, which seeks to partly restore physiologic functions originally provided by the native pylorus. We present a patient who underwent a Silastic ring-reinforced gastric bypass in 2000 and experienced severe dysphagia secondary to anastomotic stenosis requiring repeated revisional operations. In the video, we demonstrate a robotic-assisted laparoscopic approach to revising the Silastic ring gastric bypass. The aim of this procedure was to remove the Silastic ring and resect the stenotic portion of the anastomosis. The operation was performed with no complications and the patient was able to gradually resume oral intake with improved dysphagia during postoperative follow-up.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 91881
Program Number: V142
Presentation Session: Revisional Bariatrics/Foregut Video Session
Presentation Type: Video